=====================================================
General NPI Number Information
=====================================================
NPI Number | 1417950460
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JOHN A GARCIA M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/23/2005
-----------------------------------------------------
Last Update Date | 12/05/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4801 BECKNER RD STE 1700 ORTHOPEDICS- SANTA FE
-----------------------------------------------------
City | SANTA FE
-----------------------------------------------------
State | NM
-----------------------------------------------------
Zip | 87507-3641
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 505-772-2000
-----------------------------------------------------
Fax | 505-772-1749
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 26666 PHS PROVIDER ENROLLMENT
-----------------------------------------------------
City | ALBUQUERQUE
-----------------------------------------------------
State | NM
-----------------------------------------------------
Zip | 87125-6666
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 505-772-2000
-----------------------------------------------------
Fax | 505-772-1749
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207X00000X
-----------------------------------------------------
Taxonomy Name | Orthopaedic Surgery Physician
-----------------------------------------------------
License Number | MD2008-0559
-----------------------------------------------------
License Number State | NM
-----------------------------------------------------